A nurse is leading a grief support group for bereaved clients.
Which of the following client statements should the nurse report to the provider as an indication of clinical depression?

"I don't feel anything but numbness anymore.”.

"It'll be a long time before I'm happy again.”.

"I feel like I'm angry at the whole world right now.”.

"I don't know how I could cope if I didn't have my family's support.”.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The statement "I don't feel anything but numbness anymore" is indicative of anhedonia, which is a core symptom of clinical depression. Anhedonia is the inability to experience pleasure or interest in previously enjoyed activities. Reporting this statement to the provider is important as it suggests a significant emotional disturbance.

Choice B rationale:

While the statement "It'll be a long time before I'm happy again" does indicate a sense of hopelessness or prolonged sadness, it is not as specific to clinical depression as the presence of anhedonia. Clinical depression involves a range of symptoms, and the absence of pleasure or emotions (anhedonia) is a more concerning sign.

Choice C rationale:

Feeling angry at the world is a common emotional response to grief and loss and is not a direct indication of clinical depression. It is important to consider the context of grief when assessing client statements.

Choice D rationale:

Expressing reliance on family support is a healthy coping mechanism in response to grief and loss. It does not necessarily indicate clinical depression but rather a natural response to seeking support during a difficult time.

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Correct Answer is C

Explanation

Choice A rationale:

The response, "Lots of people feel ashamed to tell their secrets," is not the most therapeutic option because it does not directly address the client's need to discuss their feelings or concerns. It does offer some empathy but falls short in terms of encouraging communication and understanding.

Choice B rationale:

The response, "You will feel better if you tell me what you did last night," may come across as too direct and pressuring, which can be counterproductive in building trust with the client. It may make the client feel even more embarrassed or uncomfortable.

Choice D rationale:

The response, "You shouldn't feel embarrassed to talk to me," attempts to reassure the client but may invalidate their feelings and is not as therapeutic as the correct choice. It's important to acknowledge the client's emotions and provide them with a safe space to open up.

A. Justice. B. Beneficence. C. Autonomy. D. Veracity.

Correct Answer is C

Explanation

Choice A rationale:

Justice refers to the fair and equitable distribution of resources and treatment, and it doesn't directly apply to the nurse supporting the client's refusal of medications.

Choice B rationale:

Beneficence involves the promotion of the client's well-being and may sometimes conflict with the client's autonomy when they refuse treatment. This choice doesn't apply to the situation where the nurse supports the client's decision to refuse medications.

Choice C rationale:

Autonomy is the ethical principle that supports an individual's right to make decisions about their own care, even if those decisions go against medical advice. In this scenario, the nurse is respecting the client's autonomy by supporting their choice to refuse medications.

Choice D rationale:

Veracity involves truth-telling and honesty in the nurse-client relationship. While it is essential, it is not the primary ethical principle being displayed when the nurse supports the client's refusal of medications.

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A nurse is leading a grief support group for bereaved clients.Which of the following client statements should the nurse report to the provider as an indication of clinical depression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who states, "I am too embarrassed to tell anyone what I did last night.”. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications.Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?

Correct Answer is C

Explanation

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A nurse is leading a grief support group for bereaved clients.
Which of the following client statements should the nurse report to the provider as an indication of clinical depression?